Sidecar Health

Benefit Configuration Analyst

Remote

Not SpecifiedCompensation
Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
Health Insurance, HealthcareIndustries

Benefit Configuration Analyst

Employment Type: [Not Specified] Location Type: [Not Specified] Salary: $75,000 - $90,000

Company Overview

Sidecar Health is redefining health insurance with a mission to make excellent healthcare affordable and attainable for everyone. We are a team of driven individuals with diverse backgrounds in tech leadership, policy making, healthcare, and more, united by a desire to fix a broken system and make it more personalized, affordable, and transparent. If you want to use your talents to transform healthcare in the United States, come join us!

Note: Must reside in Florida, Georgia, Kentucky, or Ohio for consideration.

About the Role

As a Benefit Configuration Analyst, you will be instrumental in ensuring the accuracy and timeliness of critical information within our claims databases. Your responsibilities will include collaborating with cross-functional teams to define requirements for our rules engine and serving as the initial configuration analyst, creating and managing rules within our new technology platform.

What You'll Do

  • Implement and maintain benefit matrices for all Sidecar Health products.
  • Conduct root cause analysis and resolve benefit and pricing-related claims payment issues.
  • Define requirements for our rules engine and serve as the initial configuration analyst.
  • Assist with project requirements and staff new technology features on the roadmap.
  • Analyze and interpret data to determine appropriate configuration changes.
  • Interpret specific state and/or federal benefits, contracts, and additional business requirements, converting these terms to configuration parameters.
  • Code, update, and maintain benefit plans, provider contracts, fee schedules, and various system tables through the user interface.

What You'll Bring

  • 2+ years of experience in benefit configuration or a related field.
  • Bachelor’s degree.
  • Strong analytical skills with the ability to interpret complex data.
  • Proficient in Microsoft Excel.
  • Knowledge of healthcare benefits, contracts, and fee schedules.
  • Excellent communication and interpersonal skills.
  • Ability to work independently and as part of a team in a fast-paced environment.
  • Experience working with rules engines and configuration tools (preferred).

What You'll Get

  • Competitive salary, bonus opportunity, and equity package.
  • Comprehensive Medical, Dental, and Vision benefits.
  • A 401k retirement plan.
  • Paid vacation and company holidays.
  • Opportunity to make an impact at a rapidly growing mission-driven company transforming healthcare in the U.S.

Application Instructions

[Not Specified]

Company Information

Sidecar Health adopts a market-based approach to compensation, where base pay varies depending on location and is further influenced by job-related skills and experience.

Sidecar Health is an Equal Opportunity employer committed to building a diverse team. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status or disability status.

Skills

Benefit Configuration
Claims Data Analysis
Rules Engine Configuration
Benefit Matrices Management
Data Interpretation
Benefit and Pricing Resolution
System Configuration
Benefit Plans Coding
Provider Contracts
Fee Schedules

Sidecar Health

Affordable health insurance with price transparency

About Sidecar Health

Sidecar Health provides health insurance plans that focus on affordability and transparency, including options compliant with the Affordable Care Act (ACA). The company allows members to see average cash prices for medical services upfront, helping them make informed decisions and avoid unexpected costs. Revenue is generated through member premiums, which cover medical expenses, while also benefiting from the difference between negotiated cash prices and premiums. Sidecar Health's goal is to empower members to take control of their healthcare expenses with straightforward and cost-effective insurance options.

El Segundo, CaliforniaHeadquarters
2018Year Founded
$319.1MTotal Funding
SERIES_DCompany Stage
Financial Services, HealthcareIndustries
201-500Employees

Benefits

Health Insurance
Dental Insurance
Vision Insurance
401(k) Retirement Plan
Paid Vacation
Paid Holidays
Stock Options
Company Equity

Risks

Increased competition from similar insurtech companies may erode market share.
Regulatory scrutiny on cash pay models could pose compliance challenges.
Economic downturns might reduce consumer spending on health insurance premiums.

Differentiation

Sidecar Health offers transparent pricing, empowering members with upfront healthcare cost information.
The company provides customizable plans, aligning with individual coverage needs and budgets.
Partnerships with institutions like Ohio State University enhance their fixed-price care model.

Upsides

Recent $165M Series D funding supports expansion and innovation in health insurance.
Partnership with Mark Cuban Cost Plus Drug Company lowers prescription drug costs for members.
ACA-compliant product line expansion increases market reach and consumer options.

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